| NPI | 1629289681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMNEY K LADERBERG Owner 617-387-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 73767) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |